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TAVI in the UK & Globally: Challenges and Digital Solutions

Edward Willans
October 23, 2025

The Global Rise of TAVI

Transcatheter Aortic Valve Implantation (TAVI) has transformed the treatment of severe aortic stenosis, offering a minimally invasive alternative for patients who are high-risk for open-heart surgery. Globally, TAVI adoption is accelerating, driven by ageing populations and improved device technology. In the UK, the NHS has prioritised expanding access to TAVI, recognising its potential to reduce mortality and improve quality of life.

Why do hospitals need a dedicated TAVI workflow platform?

The pathway spans referral to three‑year follow‑up, involving multiple teams and systems. National audit data show the need to improve data completeness and reduce variation, which digital tools can address through integrations, validations, and analytics.

Is TAVI growing globally?

Yes. Independent market analyses project double‑digit growth over the next decade as ageing populations and minimally invasive care drive demand.

However, as demand grows, so do the challenges. Managing the TAVI patient journey from referral to long-term follow-up requires precision, coordination, and compliance. For many hospitals, this is easier said than done.

Why TAVI teams are under pressure: The real‑world workflow challenges

TAVI is not a single-step procedure; it’s a multi-stage pathway involving cardiologists, surgeons, imaging teams, and administrative staff. Here are some of the biggest hurdles:

  • Fragmented Data Systems: Patient information often sits across multiple platforms - EPR, PAS, imaging systems, making it hard to maintain a single source of truth.
  • Complex Triage Decisions: Determining whether a patient is suitable for TAVI or surgical intervention requires multidisciplinary input and accurate severity scoring.
  • Diagnostic Test Coordination: Echocardiograms, CT scans, and angiograms must be scheduled and tracked, but manual processes often lead to delays.
  • Waitlist Pressures: Growing demand means longer waitlists, requiring proactive reassessment to prioritise high-risk patients.
  • Compliance and Audit Requirements: Meeting NICOR and national audit standards demands complete, accurate data - manual reporting increases risk and workload.
  • Long-Term Follow-Up: Tracking outcomes for up to three years post-procedure is essential for quality improvement but often overlooked due to resource constraints.

These challenges don’t just create administrative headaches, they can impact patient safety and outcomes. Together, these challenges create a clear mandate: digitise the TAVI pathway to unify data, standardise decision‑making, ease compliance, and empower teams to act earlier without adding administrative burden.

How digital solutions can transform TAVI care

This is where Medicus Cardiology comes in. Our dedicated TAVI module is designed to streamline every step of the patient journey, ensuring teams can focus on care rather than paperwork.

With structured workflows, the platform supports multiple triage pathways such as transcatheter clinics, surgery, MDT meetings, and joint clinics, so patients are routed correctly. Automated data capture integrates with EPR/PAS systems, reducing duplication and errors. Built-in severity assessment tools help prioritise patients objectively, while diagnostic test tracking prevents delays.

Compliance is no longer a burden thanks to validation rules and progress bars that ensure NICOR standards are met. Medicus ensures comprehensive coverage from pre-op to post-op, with long-term follow-up extending to three years.

Real-World Collaboration: Coventry’s Pilot Project

University Hospitals Coventry and Warwickshire (UHCW) NHS Trust is leading an innovative pilot funded by NHS England to improve patient pathways for heart valve intervention. This initiative focuses on working more closely with cardiac surgeons, referring hospitals, and patients to streamline the journey to heart valve intervention. The Coventry team approached Mela Solutions to help design a TAVI patient management module that supports this vision, bringing structured workflows, integrated data, and proactive follow-up into one platform. Early feedback has been encouraging, with teams already seeing the impact on patient pathways and coordination. It’s a powerful reminder that digital tools aren’t just about efficiency, they’re about enabling better care and stronger collaboration across the structural heart network.

The impact on patient care

Medicus TAVI module is designed around the realities of NHS workflows and national audit requirements. By digitising the TAVI workflow, hospitals can:

  1. Improve patient outcomes through faster, data-driven decisions
  2. Reduce administrative burden with automated reporting
  3. Enhance visibility for audits and quality improvement
  4. Access real‑time analytics from referral to recovery
  5. Deliver safer, more personalised care.

This patient management module is helping services scale safely as demand grows in both UK and international settings (with local configuration). Learn more about our TAVI workflow or book a demo today.

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